Update your collector policy

Submit the forms below to update your policy

For additional support, please call us at 888-837-9537 to talk with an agent.

Collector policy forms

First Name:

Last Name:

Business Name (if applicable):

Policy Number:

Phone:

Email:

Automatic Monthly Increase:

AddRemove

This is an optional coverage for new acquisitions and appreciation of your existing collection. Adding this coverage will apply an automatic monthly increase of 1% in coverage, up to a maximum of $1 million.

Comments:

Mailing Street:

Mailing City:

Mailing State:

Mailing ZIP Code:

Change Also Applies to the Premises Location:

YesNo

Comments:

New First Name:

New Last Name:

New Business Name (if applicable):

Reason for Name Change:

Location Street:

Location City:

Location State:

Location ZIP Code:

Existing Policy Limit of Insurance:

Requested Policy Limit of Insurance:

Change is the result of adding or removing scheduled items:

YesNoEmpaty

If Yes, please also complete the Schedule Items form.

Comments:

Central Station Alarm:

AddRemoveEmpaty

Calls alarm company or police (location away from premises which is continually monitored)

Safe:

AddRemoveEmpaty

Weighs at least 300 lbs. empty, no wheels, with a combination, digital or key lock.

Vault:

AddRemoveEmpaty

Has 3-inch walls, no windows and metal doors.

Location Street:

Location City:

Location State:

Location ZIP Code:

Comments:

Add/Remove Item #1 (Valued $25,000 or More):

Add ItemRemove Item

Item 1:

Item #1 Value:

Add/Remove Item #2:

Add ItemRemove ItemEmpaty

Item 2:

Item #2 Value:

Add/Remove Item #3:

Add ItemRemove ItemEmpaty

Item 3:

Item #3 Value:

Change will affect my current policy limit of insurance:

YesNo

If Yes, please also complete the Policy Limit of Insurance form.

Comments:

Where the collection is actually stored (a physical address is required, no PO Boxes).

Location Street:

Location City:

Location State:

Location ZIP Code:

Is this an additional location?

YesNo
If No, please indicate which address this is replacing that is currently scheduled on your policy:

Type of Structure:
If Other*, please describe:

Type of Construction:
If Other, please describe:

Year Built:
If built before 1950, enter the date the electrical, heating, plumbing, and roof was last updated:

Storage of Collectibles:

Any collectibles stored in an immobile safe weighing at least 300lbs empty?

YesNo

Any collectibles stored in vault with 3-inch walls, no windows, and a metal door?

YesNo
If Yes, What is the construction of the vault?

What type of lock does the safe and/or vault have?

CombinationDigitalKey
Who has access to the safe and/or vault?

Describe where and how your collection is stored or displayed on your premises:

Are any of the collectibles stored in a basement or other areas below the ground floor?

YesNo

If Yes, a Stillage Endorsement will be added to the policy requiring all items be stored 6" off of the floor.

Are any of the collectibles stored outdoors exposed to the elements?

YesNo
If Yes, please describe:

Comments:

Away from Premises:

WorldwideDomestic

Coverage Amount, Including Excess Coverage:

Reason for Being Away from the Premises:

Travel Date From:

Travel Date To:

Travel From Location:

Travel To Location:

Comments:

Coverage Amount, Including Excess Coverage:

Shipment Date:

Items Shipped:

Shipping Carrier:

Shipping Method:

City & State of Origin:

City & State of Destination:

Signature Required:

YesNo

Only Signature Required shipments will be eligible for Temporary Excess Coverage.

Comments:

Add/Remove Type of Collectible:

Add Type of CollectibleRemove Type of Collectible

Type of Collectible:

Change will affect my current policy limit of insurance:

YesNo

If Yes, please also complete the Policy Limit of Insurance form.

Comments:

Description of Change:

Please note that no coverage will be bound and no changes made on any policy without a written "Confirmation of Insurance", Binder, Endorsement or Reinstatement from Collectibles Insurance Services. Coverage cannot be assumed if you do not receive one of the aforementioned notices.

Update Collector Policy | Collectibles Insurance Services | Collect Insure

Update your collector policy

Collector policy forms

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